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						<td colspan="9" style="width: 113pt; height: 20pt;"></td>
						<td colspan="10" style="width: 168pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span style="font-family: 黑体; color: #000000; font-size: 16pt;">中国电信股份有限公司</span>
							</p></td>
						<td colspan="5" style="width: 35pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span style="font-family: 黑体; color: #000000; font-size: 16pt;">北京</span>
							</p></td>
						<td colspan="9" style="width: 140pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span style="font-family: 黑体; color: #000000; font-size: 16pt;">分公司业务登记单</span>
							</p></td>
						<td colspan="11" style="width: 139pt; height: 20pt;"></td>
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						<td colspan="44" style="width: 595pt; height: 10pt;"></td>
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						<td colspan="2" style="width: 45pt; height: 15pt;"></td>
						<td colspan="6" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">订单编号：</span>
							</p></td>
						<td colspan="6" style="width: 130pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">100000429959</span>
							</p></td>
						<td style="width: 3pt; height: 15pt;"></td>
						<td style="width: 15pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">第</span>
							</p></td>
						<td
							style="text-align: center; width: 10pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 9pt; font-weight: bold;">1</span>
							</p></td>
						<td style="width: 3pt; height: 15pt;"></td>
						<td colspan="2" style="width: 35pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">页
									(共</span>
							</p></td>
						<td colspan="2" style="width: 4pt; height: 15pt;"></td>
						<td
							style="text-align: center; width: 10pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 9pt; font-weight: bold;">1</span>
							</p></td>
						<td style="width: 3pt; height: 15pt;"></td>
						<td colspan="2" style="width: 20pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">页)</span>
							</p></td>
						<td colspan="2" style="width: 39pt; height: 15pt;"></td>
						<td colspan="4" style="width: 57pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">受理日期：</span>
							</p></td>
						<td colspan="2" style="width: 30pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">2013</span>
							</p></td>
						<td colspan="2" style="width: 15pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">年</span>
							</p></td>
						<td style="width: 14pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">01</span>
							</p></td>
						<td style="width: 15pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">月</span>
							</p></td>
						<td style="width: 14pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">11</span>
							</p></td>
						<td colspan="2" style="width: 15pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">日</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 15pt;"></td>
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						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
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						<td style="width: 35pt; height: 1pt;"></td>
						<td colspan="40"
							style="border-top-style: solid; border-top-width: 1pt; border-top-color: #000000;"></td>
						<td colspan="3" style="width: 60pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 2pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="5" style="width: 70pt; height: 14pt;"></td>
						<td colspan="5" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">客户名称：</span>
							</p></td>
						<td colspan="11" style="width: 172pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">张喆</span>
							</p></td>
						<td colspan="6" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">联系电话：</span>
							</p></td>
						<td colspan="14" style="width: 177pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">5****439</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="5" style="width: 70pt; height: 14pt;"></td>
						<td colspan="5" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">证件类型：</span>
							</p></td>
						<td colspan="11" style="width: 172pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">虚拟证件</span>
							</p></td>
						<td colspan="6" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">证件号码：</span>
							</p></td>
						<td colspan="14" style="width: 177pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">201055*****90000</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="5" style="width: 70pt; height: 14pt;"></td>
						<td colspan="5" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">通信地址：</span>
							</p></td>
						<td colspan="11" style="width: 172pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">北京市海淀区兰靛厂正兰旗80号</span>
							</p></td>
						<td colspan="6" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">邮政编码：</span>
							</p></td>
						<td colspan="14" style="width: 177pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">100025</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="5" style="width: 70pt; height: 14pt;"></td>
						<td colspan="5" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">电子邮箱：</span>
							</p></td>
						<td colspan="34" style="width: 467pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 3pt;"></td>
					</tr>
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						<td style="width: 35pt; height: 1pt;"></td>
						<td colspan="40"
							style="border-top-style: solid; border-top-width: 1pt; border-top-color: #000000;"></td>
						<td colspan="3" style="width: 60pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 2pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="2" style="width: 45pt; height: 15pt;"></td>
						<td colspan="6" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">登记信息：</span>
							</p></td>
						<td colspan="36" style="width: 492pt; height: 15pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 5pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="3" style="width: 55pt; height: 14pt;"></td>
						<td colspan="37" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.5; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">一、【订购】自主型宽带融合套餐-8M(次月生效)</span>
							</p></td>
						<td colspan="4" style="width: 65pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="5" style="width: 70pt; height: 14pt;"></td>
						<td colspan="37" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">1、用户号码：</span>
							</p></td>
						<td colspan="2" style="width: 50pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="7" style="width: 85pt; height: 14pt;"></td>
						<td colspan="5" style="width: 100pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 9pt;">自主型宽带融合套餐壳子</span>
							</p></td>
						<td colspan="29" style="width: 350pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 9pt;">C42002395(新开户)</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="5" style="width: 70pt; height: 14pt;"></td>
						<td colspan="37" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">2、套餐月基本费：180元，包含：</span>
							</p></td>
						<td colspan="2" style="width: 50pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="7" style="width: 85pt; height: 14pt;"></td>
						<td colspan="18" style="width: 235pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 10pt;">天翼宽带：8M不限时；</span>
							</p></td>
						<td colspan="19" style="width: 275pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="7" style="width: 85pt; height: 14pt;"></td>
						<td colspan="36" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.5; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 9pt;">赠送：
									&nbsp;固话免月租费</span>
							</p></td>
						<td style="width: 35pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="5" style="width: 70pt; height: 14pt;"></td>
						<td colspan="37" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">3、套餐超出资费，包含：</span>
							</p></td>
						<td colspan="2" style="width: 50pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="7" style="width: 85pt; height: 14pt;"></td>
						<td colspan="18" style="width: 235pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 10pt;">其余按标准资费计收（标准资费请登录中国电信网上</span>
							</p></td>
						<td colspan="19" style="width: 275pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="5" style="width: 70pt; height: 14pt;"></td>
						<td colspan="37" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">4、订购当月资费：</span>
							</p></td>
						<td colspan="2" style="width: 50pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="7" style="width: 85pt; height: 68pt;"></td>
						<td colspan="34" style="width: 450pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.5; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 9pt;">（1）如果已有宽带或者固话：如已有宽带\固话产品是单产品申请自主版基础套餐，则基础套餐中的产品申请当月整月费用折合实际生效天数计算；如已有宽带\固话产品退出为次月生效，则基础套餐中的宽带\固话产品申请当月只需执行上一产品资费标准，而不再收取由于退出套餐变为单产品时在当月所产生的费用；（2）如果固话和宽带是新装用户，则执行过渡期资费：固定电话：固定电话免月租费，超出后按照标准资费收取；
									宽带：宽带报竣当月免月租费；</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 68pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 3pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="3" style="width: 55pt; height: 1pt;"></td>
						<td colspan="38"
							style="border-top-style: dashed; border-top-width: 1pt; border-top-color: #000000;"></td>
						<td colspan="3" style="width: 60pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 2pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="3" style="width: 55pt; height: 14pt;"></td>
						<td colspan="37" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.5; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">二、【变更】LAN加入套餐
									&nbsp;用户号码：宽带主用户角色:01010717644</span>
							</p></td>
						<td colspan="4" style="width: 65pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 3pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="3" style="width: 55pt; height: 1pt;"></td>
						<td colspan="38"
							style="border-top-style: dashed; border-top-width: 1pt; border-top-color: #000000;"></td>
						<td colspan="3" style="width: 60pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 2pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="3" style="width: 55pt; height: 14pt;"></td>
						<td colspan="37" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.5; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">三、【订购】固网宽带-8M不限时住宅包月（2012版）-LAN(立即生效)</span>
							</p></td>
						<td colspan="4" style="width: 65pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="5" style="width: 70pt; height: 14pt;"></td>
						<td colspan="37" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">1、用户号码：</span>
							</p></td>
						<td colspan="2" style="width: 50pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="7" style="width: 85pt; height: 14pt;"></td>
						<td colspan="5" style="width: 100pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 9pt;">宽带主用户角色:LAN号</span>
							</p></td>
						<td colspan="29" style="width: 350pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 9pt;">01010717644(新开户)</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 3pt;"></td>
					</tr>
					<tr valign="top">
						<td style="width: 35pt; height: 1pt;"></td>
						<td colspan="40"
							style="border-top-style: solid; border-top-width: 1pt; border-top-color: #000000;"></td>
						<td colspan="3" style="width: 60pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 17pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="2" style="width: 45pt; height: 15pt;"></td>
						<td colspan="6" style="width: 58pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">温馨提示：</span>
							</p></td>
						<td colspan="36" style="width: 492pt; height: 15pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="4" style="width: 60pt; height: 125pt;"></td>
						<td colspan="37" style="width: 475pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.5; text-indent: 0px;">
								<span
									style="font-family: '????', Arial, Helvetica, sans-serif; color: #000000; font-size: 9pt;">1、一号通行：您的天翼手机号就是天翼宽带（WiFi、3G、有线）帐号、也是189邮箱号，可上网、登录网掌厅、使用翼支付等功能。（189邮箱帐号：手机号@189.cn,如18918910000@189.cn,邮箱门户
									http://mail.189.cn,初次登陆或忘记密码可按提示设置或找回密码；中国电信WiFi网络标识：ChinaNet；网上营业厅网址http://www.189.cn,翼支付网址http://www.bestpay.com.cn）。<br />2、充值交费：您可登录网上营业厅、翼支付网站使用充值卡和银行卡进行充值交费，天翼手机用户编辑短信“CZ*充值付费卡密码#”发送到“10001”可给本机充值交费。<br />3、电子帐单：您可以登录网上营业厅自助查询帐单及相关业务资费，电子帐单将按月发送到您的189邮箱。<br />4、流量提示：当月手机上网流量累计达到20G，将暂停当月手机上网服务，下月起自动恢复开通，您也可申请提前开通。
								</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 125pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 85pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="2" style="width: 45pt; height: 16pt;"></td>
						<td colspan="39" style="width: 490pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 12pt; font-weight: bold;">客户确认：（以上资料属实，已阅读并同意本登记单内容及背面记载的条款附加协议）
								</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 16pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 2pt;"></td>
					</tr>
					<tr valign="top">
						<td style="width: 35pt; height: 1pt;"></td>
						<td colspan="40"
							style="border-top-style: solid; border-top-width: 1pt; border-top-color: #000000;"></td>
						<td colspan="3" style="width: 60pt; height: 1pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 6pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="6" style="width: 75pt; height: 14pt;"></td>
						<td colspan="7" style="width: 130pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">申请人/经办人(签字)：
								</span>
							</p></td>
						<td><p>signCustName</p></td>
						<td colspan="11" style="width: 111pt; height: 14pt;"></td>
						<td colspan="7" style="width: 110pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">业务受理人(签章)：</span>
							</p></td>
						<td colspan="10" style="width: 109pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">刘洋</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="6" style="width: 75pt; height: 14pt;"></td>
						<td colspan="5" style="width: 100pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">经办人证件类型:
								</span>
							</p></td>
						<td colspan="13" style="width: 141pt; height: 14pt;"></td>
						<td colspan="6" style="width: 90pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">业务受理工号:</span>
							</p></td>
						<td colspan="11" style="width: 129pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">SQJL0002</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="6" style="width: 75pt; height: 14pt;"></td>
						<td colspan="5" style="width: 100pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">经办人证件号码:
								</span>
							</p></td>
						<td colspan="13" style="width: 141pt; height: 14pt;"></td>
						<td colspan="5" style="width: 70pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">受理网点：</span>
							</p></td>
						<td colspan="12" style="width: 149pt; word-wrap: break-word;"><p
								style="overflow: hidden; line-height: 1.0; text-indent: 0px;">
								<span
									style="font-family: 黑体; color: #000000; font-size: 10pt; font-weight: bold;">劲松营业厅</span>
							</p></td>
						<td colspan="3" style="width: 60pt; height: 14pt;"></td>
					</tr>
					<tr valign="top">
						<td colspan="44" style="width: 595pt; height: 93pt;"></td>
					</tr>
				</table></td>
			<td width="50%">&nbsp;</td>
		</tr>
	</table>
</body>
</html>